Individual
ANGLIQUE HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7224 HELEN, CENTER LINE, MI 48015-1808
(313) 435-6030
Mailing address
7224 HELEN, CENTER LINE, MI 48015-1808
(313) 435-6030
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
KD76YGXL6E
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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